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DEBRA WADE MAHONEY
NPI 1861004483
Counselor - Addiction (Substance Use Disorder) in Grand Rapids, MI

Active since August 17, 2020
1939 S DIVISION AVE., GRAND RAPIDS, MI 49507(616) 247-3815 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra Wade Mahoney NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA WADE MAHONEY (NPI 1861004483) is an individual addiction (substance use disorder) provider in Grand Rapids, Michigan and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1861004483
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDEBRA WADE MAHONEY
Location Address1939 S DIVISION AVE.Grand Rapids, MI 49507
Mailing Address1939 S Division Ave.Grand Rapids, MI 49507 · (616) 247-3815
Phone(616) 247-3815
Sole ProprietorNo
Enumeration DateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1861004483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1939 S DIVISION AVE., Grand Rapids, MI 49507
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Other Names 1

Former Name (1)Debra Wade

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRI A. HUMMEL
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ANNA LAUKA
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
ASHLEY HOLCOM
Community Health Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
BROOKLYN LACKNER
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
AMANDA PETROVICH
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
GABRIEL SHYNE
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
MS. JANICE PLEASANT-PROCTOR
Social Worker (Clinical)
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815
TRACI REYNOLDS
Social Worker
1939 S DIVISION AVE.
GRAND RAPIDS, MI 49507
Kent County (616) 247-3815

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Wade Mahoney's NPI number?

The NPI number for Debra Wade Mahoney is 1861004483. It was assigned to this individual provider in the NPPES registry on August 17, 2020. The provider is also known as Debra Wade.

Where is Debra Wade Mahoney located?

Debra Wade Mahoney practices at 1939 S Division Ave., Grand Rapids, MI 49507. The listed phone number is (616) 247-3815.

What is Debra Wade Mahoney's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Debra Wade Mahoney was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.